Annales Academiae Medicae Stetinensis (Ann Acad Med Stetin)

Publisher: Pomorska Akademia Medyczna (Szczecin)

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Other titles Roczniki Pomorskiej Akademii Medycznej w Szczecinie, Annales Academiae Medicae Stetinentis, Roczniki, Roczniki PAM
ISSN 1427-440X
OCLC 68765320
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

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    ABSTRACT: Introduction : Functional disorders of the temporoman - dibular joints (TMJ) in the contemporary population are considered by World Health Organization to be the third most frequent dental disease after caries and periodontitis. It is thought to affect 84% of the adult population. In patients aged 65 years and older these disorders become more severe and may affect up to 100% of this age group. Material and method : We examined 150 patients aged 35–70 years (mean age 46.5 years). All patients were diag - nosed in 2006–2010 at the Department of Dental Prosthetics of the Pomeranian Medical University in Szczecin due to suspected more or less advanced functional disorders of the stomatognathic system, particularly TMJ. The sever - ity of the disorders was identified using the Helkimo index. Results : Functional disorders of the TMJ and mild sleep apnoea were diagnosed in 112 patients. Findings from the study indicated that the severity of sleep apnoea was posi - tively correlated with the duration and severity of TMD. Conclusion : Most patients did not link the symptoms of sleep apnoea with dysfunctions of the stomatognathic system.
    Annales Academiae Medicae Stetinensis 01/2014;
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    ABSTRACT: In CR e ASI ng TH e UPP e R AIRWA y SPAC e USI ng ORAL APPLIA n C e S MILD SL ee P AP n O e A 75 Summary Introduction : Abnormal breathing can be caused by developmental malformations or anatomical variations in the upper airways. Stomatognathic diseases may significantly impair the patency of the upper respiratory tract. Treatment of advanced stomatognathic dysfunctions is difficult due to their multifactorial aetiology, and often involves many phases. Sleep apnoea is one of the most bothersome compli - cations. The mainstay therapeutic strategy relies on modify - ing the position of the mandible against the maxilla, achieved by using different types of oral appliances. Material and methods : The study was carried out in 2006–2010 on 92 patients (mean age 42.5 years) with diag - nosed advanced dysfunction of the stomatognathic system. The treatment relied on the use of an orthodontic appliance (54 patients) or combined multi - phase therapy with splints used in the first phase (22 patients). Two different appli - ances were used (one of them was modified by the authors). Parameters assessed in the study included time to resolu - tion of pain, reduction in the incidence of sleep apnoea, and improvement in nasal breathing. Results : Change in the protrusion of the mandible not only relieved problems with the stomatognathic system, but also improved breathing in patients. The use of modified oral appliances reduced treatment duration and improved patients’ comfort. Therefore, it may be useful in the treat - ment of patients with mild sleep apnoea.
    Annales Academiae Medicae Stetinensis 01/2014;
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    ABSTRACT: Perthes disease appears in children and affects hip joints. The proximal head of the femur is damaged, which results in deformation of the femoral ball and loss of its spherical shape. Instant diagnosis and introduction of treatment is crucial for maintaining the femoral head in the hip socket, which facilitates recovery to its spherical shape. To assess the quality of life of patients who have undergone surgical treatment. The factors examined were: state of functioning and occurrence of pain in affected hip joint. 61 participants underwent the examination. The duration and type of disease were established on the basis of a radiogram. The patients were treated with varus derotation osteotomy in the 2 and 3 degree of the Reinberg scale. A Modified Oxford Hip Score was used to assess the patients' quality of life. Subjective assessment of the quality of life after recovering from the disease was regarded as very good and good. According to the patients' own evaluation the disease and the treatment did not affect their everyday life.
    Annales Academiae Medicae Stetinensis 01/2013; 59(1):53-7.
  • Annales Academiae Medicae Stetinensis 01/2013;
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    ABSTRACT: During the last decade there has been a striking growth in interest in ethical issues arising from the development of neurosciences. It was as late as 2002 that the new discipline, called neuroethics, started. It was intended to be a new area of interdisciplinary discourse on moral dilemmas connected with recent advances in, broadly understood, neurosciences. Ten years after its launch neuroethics possesses a distinct body of knowledge and an institutional basis for its further development. As a very young discipline, however, neuroethics is still in a state offlux. Two essential theoretical concepts of how this discipline is to be built on are emerging. Both are discussed in this article. According to the first of them (i.e. ethics of neurosciences), neuroethics is basically understood as a sub--discipline of bioethics. Although there are some reasons for distinguishing several branches or sub-disciplines of bioethics (genethics, neuroethics, nanoethics, etc.), there are sound arguments against such a tendency for the proliferation of biomedical ethics. The second approach to neuroethics (neuroscience of ethics), which aims at studying neuronal correlates of the well-known ethical concepts (e.g. free-will, moral responsibility, etc.), seems to be much more promising. Neuroethics understood in this way (and only in this way) can be considered as a truly new opportunity for collaboration between neuroscientists and ethicists.
    Annales Academiae Medicae Stetinensis 01/2013; 59(1):130-6.
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    ABSTRACT: The cardiac veins have inspired numerous generations of researchers. From anatomists and pathologists to cardiologists and cardiac surgeons, the issue of the structure of heart and cardiovascular disorders- in spite of enormous progress of medicine - have not been completely discovered so far. The material of the research comes from the collection of the Chair and Department of Normal and Clinical Anatomy of the Pomeranian Medical University and it includes 102 human hearts, of which 59 male and 43 female ones, aged from 12 and 70. Both coronary veins and arteries of the tested hearts were filled with the epoxy resin, which allowed for thorough exposing and differentiating between the venous vessels and the arterial vessels. The aim of this study was to assessing the interrelationships between the dimensions of the heart, the size of the coronary sinus, the length of the cardiac veins and a sex. Also determined the frequency and variability of cardiac veins run in the material, as well as the correlation between the topography of the course of the great cardiac vein, the middle cardiac vein, the branches of the left and right coronary arteries and the cardiac size and a gender. The measurements of the heart and the veins were made with the use of a pair of spherical compasses, an electronic caliper, a goniometer and a planimeter. It was found that the size of the male heart is statistically significantly greater than the female one. The dimensions of the heart correlated positively with the diameter and the length of the coronary sinus (CS) and the length of the great cardiac vein (GCV), the middle cardiac vein (MCV) and the small cardiac vein (SCV). The length of the CS positively correlated with its diameter and the length of the veins draining into it. The veins which were not always present in the tested material included: the SCV, the right marginal vein (RMV), the oblique vein of the left atrium (OVLA), the left marginal vein (LMV). It was found that the length of the GCV and the MCV in males were statistically significantly greater. The length of the MCV positively correlated with the length of the GCV, the SCV, the OVLA, the posterior vein of the left ventricle (PVLV), the LMV. The anastomoses between the GCV and the MCV were more often found in males and it was a statistically significant difference. It was found that there is a positive correlation between the venous arch connecting the GCV and the MCV and the length of the GCV. The anastomoses between the PVLV and the MCV and the LMV did not correlated with a sex, but it statistically significantly correlated with the length of the right and left PVLV and with the length of the MCV.
    Annales Academiae Medicae Stetinensis 01/2013; 59(1):81-90.
  • Annales Academiae Medicae Stetinensis 01/2013;
  • Annales Academiae Medicae Stetinensis 01/2013;
  • Annales Academiae Medicae Stetinensis 01/2013; 59(1):130-136.
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    ABSTRACT: Ectrodactyly-ectodermal dysplasia-cleft syndrome (EEC) results from a simultaneous developmental abnor-caused by mutations of the tp63 gene. Five mutations: 204, 227, 279, 280, and 304 account for most cases of this syndrome. A case with R304W mutation, characterized by the presence of all major (ectrodactyly, ectodermal dysplasia, cleft lip and palate) and two minor (lacrimal duct obstruction, developmental delay) clinical symptoms of the syndrome is presented. This severe case improves the existing knowledge concerning the genotype-phenotype correlations in EEC syndrome.
    Annales Academiae Medicae Stetinensis 01/2013; 59(1):11-4.
  • Annales Academiae Medicae Stetinensis 01/2013;
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    ABSTRACT: Progress in existing methods of physiotherapy and body regeneration and introduction of new methods has made it possible to precisely select the techniques according to patient needs. The modern therapist is capable of improving the physical and mental condition of the patient. Watsu helps the therapist eliminate symptoms from the locomotor system and reach the psychic sphere at the same time.
    Annales Academiae Medicae Stetinensis 01/2013; 59(1):100-2.
  • Annales Academiae Medicae Stetinensis 01/2013;
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    ABSTRACT: The size and symmetry of the eye-socket have puzzled many medical and biological scientists. The orbit is a very complicated skull part because of the great number of bones involved in its structure, and its specific physiological function. The aim of our study was to estimate variations in the shape, size and position of the orbital openings in contemporary human skulls by using computer software. The material consisted of 80 male human skulls of the European population from the beginning of the 20th century. X-ray photographs were taken in the P-A projection, then the images were scanned and calibrated by means of MicroStation 95 Academic Edition software. Tools for measuring the vector elements were used to assess measurements: n-mf, mf-ml, mf-ek, spa--sbk and the area of the orbital opening. The orbital index and the index of morphological asymmetry were assessed. Michalski's tables were used to establish orbit features. The statistical analysis was performed using the Statistica computer software package. Measurements of the eye--socket position in relation to the mid-line were significantly more frequently larger on the left-hand side, which means a more lateral position of orbits on that side. The measurements of breadth, height and area were more frequently larger on the right side. The asymmetry index was significant for orbit width. The majority of the examined orbits were classified as hypsikonch, according to the orbital index. According to Michalski's scale, the dominant size data described orbital openings in the European population from the West Pomeranian region. The awareness of variability in this area is necessary for the correct interpretation of patients' examination results, reconstruction planning, in forensic medicine, and anthropology.
    Annales Academiae Medicae Stetinensis 01/2013; 59(1):76-80.
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    ABSTRACT: The development of techniques applied in cardiac surgery changed the profile of operated patients. Patients with small lesions within the cardiovascular system are treated using invasive cardiology. The occurrence of infections is directly related to the type of surgery and the implanted material. Many hospitals, even in the developed countries, contend with hospital infections, which are the source of serious clinical and economic problems. Paradoxically, problems associated with hospital infections have grown worse along with advances in medicine and the implementation of new invasive diagnostic methods. Cardiac surgery wards are specialist units, where infections among patients are quite common. Hospital infections are dangerous for patients' health and even life. They also contribute to the failure of therapy. Therefore, the awareness of infections and their reasons, which may help to control and eliminate this problem, is so important. The aim of this study was an annual forward-looking analysis of hospital infections in the cardiac surgery ward, which included: patients' profiles, clinical forms of infections, aetiological factors and infection risk factors in patients with various types of cardiac surgical procedures. This forward-looking study involved all patients hospitalised in the Cardiac Surgery Clinic, the Pomeranian Medical University of Szczecin in the period 1.01-31.12.2008. The total number of participants was 1127, including 804 (71.3%) men and 323 (28.7%) women. analysis of procedures used in cardiac surgery wards so far and the offer of optimal prevention measures. Each patient had his/her own infection registration card. The material for microbiological tests was taken in accordance with a routine procedure once a week or in cases of suspected infections. 1. Infections were detected in 7.2% of patients. 2. Death rates among patients with infections was higher in women than in men (46.2% vs 33.3%). 3. The most common clinical forms of infection were pneumonia (44.4%), sepsis (42.0%) and surgical site infection (33.3%), however every infected patient had 1-4 clinical forms. 4. The most common aetiological factors of infection, irrespective of a clinical form, were Gram-negative rods with the prevalence of Enterobacter cloacae and Pseudomonas aeruginosa. 5. Patient-related infection risk factors included overweight and womens' age > 72, while a statistically significant increase in the incidence of infections was found in patients who had not received anti-thrombosis treatment. 6. Infection risk factors associated with treatment and specificity of the cardiac surgery ward were mainly: artificial ventilation > 24 h, the necessity for reoperation, a blood transfusion, pressor administration, treatment complications, as well as not using extracorporeal circulation and surgical site drainage. 7. Risk factors related to treatment complications included mainly: circulatory problems, renal insufficiency, respiratory insufficiency, low cardiac output syndrome and ischaemic cerebral stroke. 8. There were no correlations between infections and the course of surgery, the type of a prosthesis (mechanical/biological) or catheterization of vessels and the bladder. 9. The presented results enable the analysis of procedures used in cardiac surgery wards so far and the offer of optimal prevention measures.
    Annales Academiae Medicae Stetinensis 01/2013; 59(1):37-48.
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    ABSTRACT: The paper presents clinical-radiological research on the impact of the new semi-cement luting agent in the immediately loaded implant-supported restoration on alveolar ridge resorption. 25 patients with a partially edentulous alveolar ridge in the anterior section of the maxilla or mandible were included in the study. The implants were inserted with the application of traditional burs or with a Piezosurgery device supplied by Mectron. Taking into account the method of implant bed preparation, the scientific material was divided into two groups. The implants were loaded immediately with single crown restorations cemented with the Implantlink semi cement application. The following indices were taken into consideration: pocket depth around implant calculated at four measuring points, marginal alveolar bone loss measured using radio-visiography, the 3-degree Wachtel scale of healing of the soft tissue. In addition, the presence and possible width or height of any recession around the implants was measured. The success of the implant treatment was assessed according to the Albrektsson success criteria. The research results were subjected to statistical analysis. The results of our study revealed no influence of the Implant-link semi cement on the crestal bone level, regardless of the bone bed preparation technique.
    Annales Academiae Medicae Stetinensis 01/2013; 59(1):66-75.
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    ABSTRACT: For last several years popularity of substances which improve concentration or/and cause hallucinations has considerably increased. There is a conviction that most frequent addictions among teenagers are cigarettes, alcohol or drugs of abuse. A very dangerous phenomenon has been ignored, becoming more common among scholars and students - usage of medicines available without doctor's prescription (over the counter drugs - OTC). Popularity and fame of these specifics comes from side effects observed especially when overdosed. In years 2007-2012 in Clinical Toxicology Laboratory of Medical Pomeranian University 4304 toxicological analyses was conducted with specified direction on drugs analysis (39% of all analyses made in that period). In some cases, especially of young people, a doctor ordering the analysis pointed as possible cause of intoxication "recreational usage" of OTC drugs. Those suspicions were confirmed by toxicological examinations. It seems that dominating character feature of people who abuse psychoactive substances is emotional immaturity. Maturation process can be impaired or completely inhibited by abusing psychoactive substances. This is processes are considered which enhance immaturity of person's personality - so called defense mechanisms.
    Annales Academiae Medicae Stetinensis 01/2013; 59(1):114-9.